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Organization
CHOLLA HILLS FAMILY DENTISTRY LLC
Active
Organization
CHOLLA HILLS FAMILY DENTISTRY LLC
Active
Other names
Cholla Hills Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
GIRIJA NADARAJAN (MANAGING MEMBER OWNER)
(623) 979-6363
Entity
Organization
Contact information
Practice address
7425 W PEORIA AVE, SUITE 102, PEORIA, AZ 85345-5876
(623) 979-6363
(623) 334-2301
Mailing address
7425 W PEORIA AVE, SUITE 102, PEORIA, AZ 85345-5876
(623) 979-6363
(623) 334-2301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1888390
UCCI
AZ
01
—
274044
DBA
AZ
01
—
76287
DHA
AZ
Enumeration date
05/03/2007
Last updated
08/22/2020
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